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Strategies to mitigate the spread of COVID-19, namely quarantine and social distancing protocols, have exposed a troubling paradox: mandated isolation meant to preserve well-being has inadvertently contributed to its decline. Prolonged isolation has been associated with widespread loneliness and diminished mental health, with effects compounded by limited face-to-face access to clinical and social support systems. While remote communication technologies (e.g., video chat) can connect individuals with healthcare providers and social networks, remote technologies might have limited effectiveness in clinical and social contexts. In this review, we articulate the promise of Virtual Reality as a conduit to clinical resources and social connection. Furthermore, we outline various social and economic factors limiting the virtual reality industry’s ability to maximize its potential to address mental health issues brought upon by the pandemic. These barriers are delineated across five dimensions: sociocultural, content, affordability, supply chain, and equitable design. After examining potential short- and long-term solutions to these hurdles, we outline potential avenues for applied and theoretical research seeking to validate these solutions. Through this evaluation we seek to (a) emphasize virtual reality’s capacity to improve mental health by connecting communities to clinical and social support systems, (b) identify socioeconomic barriers preventing users from accessing these systems through virtual reality, and (c) discuss solutions that ensure these systems can be equitably accessed via changes to existing and future virtual reality infrastructures.

With the advent of social media technologies, debate continues to swirl around the ability of these technologies to either connect or isolate. Healthcare support communities represent an especially vulnerable population who can potentially gain most significantly from the ability to connect via online social support groups. This paper reviews current literature on the efficacy of online social support groups, with a particular interest in 3-D online social virtual worlds. The literature reveals the importance of social support in general; of finding support online in these mediated environments; and the strengths and weaknesses in the current technologies that offer virtual healthcare support groups. Characteristics of social virtual worlds including persistence, anonymity, 24/7 access to individuals globally, and virtual embodiment reveal powerful potential to build support online. For example, individuals with disabilities, chronic illness, or mental illness may not have physical or social resources necessary to get to face-to-face support groups yet the literature also finds that they may find meaningful support in avatar form.Finally, the literature also frequently cites the growing need for a clear understanding of user privacy, informed consent, intellectual property and ethics in research in this arena. As cost and access to healthcare and social support may become more challenging, access to support online is becoming more mainstream with tremendous opportunity, especially for individuals whose lives are limited by chronic illness or disability.

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